Peninsula Chiropractic Clinic is a medicare enrolled "Chiropractor" provider in Port Hadlock, Washington. Their current practice location is
231 W Patison St, Port Hadlock, Washington. You can reach out to their office (for appointments etc.) via phone at
(360) 385-4900.
Peninsula Chiropractic Clinic is licensed to practice in Washington (license number CH00034364) and it also participates in the medicare program. Peninsula Chiropractic Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861794182.
Healthcare Provider's Profile
Full Name | Peninsula Chiropractic Clinic |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 231 W Patison St, Port Hadlock, Washington |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861794182
- Provider Enumeration Date: 11/18/2010
- Last Update Date: 02/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 7810177219
- Enrollment ID: O20110224000957
Medical Identifiers
Medical identifiers for Peninsula Chiropractic Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861794182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CH00034364 (Washington) | Primary |
363L00000X | Nurse Practitioner | AP30005953 (Washington) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Peninsula Chiropractic Clinic acts as a billing entity for following providers:
Provider Name | Michael Jeremy Dam |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1588602742 PECOS PAC ID: 9830188580 Enrollment ID: I20040508000369 |
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Provider Name | Ann M Failoni |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1245257054 PECOS PAC ID: 9638145550 Enrollment ID: I20040902000535 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peninsula Chiropractic Clinic is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peninsula Chiropractic Clinic 231 W Patison St, Port Hadlock, WA 98339-9751 Ph: () - | Peninsula Chiropractic Clinic 231 W Patison St, Port Hadlock, WA 98339-9751 Ph: (360) 385-4900 |
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